Keith D Gibson, PHD - Psychologist in Beloit, WI

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Keith D Gibson, PHD is a Psychologist based in Beloit, Wisconsin. Keith D Gibson is licensed to practice in Wisconsin (license number 522057) and his current practice location is 1969 W Hart Rd, Beloit, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (608) 364-5686.

NPI number for Keith D Gibson is 1801014204 and his current mailing address is N2788 Walden Ln, Lake Geneva, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801014204.

Contact Information

Keith D Gibson, PHD
1969 W Hart Rd,
Beloit, WI 53511-2230
(608) 364-5686
(608) 363-5756

Map and Direction




Healthcare Provider's Profile

Full NameKeith D Gibson
GenderMale
SpecialityPsychologist
Location1969 W Hart Rd, Beloit, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801014204
  • Provider Enumeration Date: 04/23/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Keith D Gibson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801014204NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 522057 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keith D Gibson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keith D Gibson, PHD
N2788 Walden Ln,
Lake Geneva, WI 53147-3439

Ph: (262) 248-6789		Keith D Gibson, PHD
1969 W Hart Rd,
Beloit, WI 53511-2230

Ph: (608) 364-5686

Reviews and Comments


Psychologist in Beloit, WI

Dr. Cornelia Ellis Green, PHD
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Medicare: Not Enrolled in Medicare
Practice Location: 419 Pleasant St, Suite 313, Beloit, WI 53511
Phone: 608-365-7078    Fax: 608-365-7464
Savannah Marie Boyd,
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Medicare: Not Enrolled in Medicare
Practice Location: 1225 Emerson St, Beloit, WI 53511
Phone: 706-968-8879    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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